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- Title
Hitching the gallbladder in laparoscopic-assisted cholecysto-cholangiography: a simple technique.
- Authors
Houben, C.; Wong, H.; Mou, W.; Chan, K.; Tam, Y.; Lee, K.
- Abstract
Neonatal cholestatic disorder in the late neonatal period requires often cholangiography to differentiate between biliary atresia and other causes of prolonged neonatal jaundice. A simplified method of a laparoscopic-assisted cholecysto-cholangiography is presented. Retrospective chart review was conducted of all patients who from May 2002 to April 2012 underwent a laparoscopic-assisted cholecysto-cholangiography with routine fixation of the fundus of the gallbladder to the lateral aspect of the abdominal wall. A total of 18 infants (8 boys) aged 41-104 (median 64) days underwent laparoscopic-assisted cholecysto-cholangiography for prolonged jaundice. The technique identified ten cases of a patent bile duct system and eight biliary atresias. (Thirty-two cases of suspected biliary atresia were confirmed by laparoscopy alone.) Two cases required suturing of a bile leak at the puncture site. Hitching the gallbladder to the lateral abdominal wall is a simple method allowing an optimal radiographic assessment of the extra- and intra-hepatic bile duct anatomy.
- Subjects
CHOLECYSTOSTOMY; CHOLANGIOGRAPHY; LAPAROSCOPIC surgery; BILIARY atresia; NEONATAL jaundice; CHOLESTASIS in children; ABDOMINAL wall; SURGERY
- Publication
Pediatric Surgery International, 2013, Vol 29, Issue 9, p953
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-013-3347-z